CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Deaconess Illinois Crossroads

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $186
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Deaconess Illinois Crossroads is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.47x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $78 (62%)
Insurance Median: $186 (147%)
Cash: $78 (62% of Medicare)
Ins. Median: $186 (147% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $29 - $206 23%
Self-Pay $50 - $78 40%
Cigna $56 - $138 44%
Alter-Net Medical Services, Inc. $79 - $332 63%
Alliance Coal $86 - $192 68%
Prime Health Services $108 - $266 86%
Humana $112 - $276 89%
Aetna $114 - $280 90%
Blue Cross Blue Shield $116 - $168 92%
Meridian Health Plan $116 92%
Mytru Advantage $116 92%
Umwa $116 92%
Wellcare $116 92%
Molina Healthcare Of Illinois $118 93%
Care Improvement Plus $119 94%
Guardian Resources, Inc. $121 - $298 96%
Healthcare'S Finest Network (Hfn) $122 - $301 97%
Medicalcontrol Network Solutions $122 - $301 97%
National Provider Network $122 - $301 97%
Hope Trust $124 - $332 98%
Three Rivers Provider Network $125 - $308 99%
Beech Street $127 - $312 101%
Wexford Health Sources $159 - $248 126%
Noncontracted $186 147%
Deaconess Onecare $188 - $246 149%
Encore Prime/Elite/Elite + $195 - $245 154%
Encore Combined $216 - $245 171%
Great West Healthcare Of Illinois $266 211%
Multiplan - Primary Network - Phcs $278 220%
Healthlink $283 - $301 224%
Coventry Healthcare $298 236%
First Health $298 236%
Multiplan - Complementary Network $303 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals